title: Development of a field-friendly automated dietary assessment tool and nutrient database for India.
abstract: Studies of diet and disease risk in India and among other Asian-Indian populations are hindered by the need for a comprehensive dietary assessment tool to capture data on the wide variety of food and nutrient intakes across different regions and ethnic groups. The nutritional component of the India Health Study, a multicentre pilot cohort study, included 3908 men and women, aged 35-69 years, residing in three regions of India (New Delhi in the north, Mumbai in the west and Trivandrum in the south). We developed a computer-based, interviewer-administered dietary assessment software known as the 'NINA-DISH (New Interactive Nutrition Assistant - Diet in India Study of Health)', which consisted of four sections: (1) a diet history questionnaire with defined questions on frequency and portion size; (2) an open-ended section for each mealtime; (3) a food-preparer questionnaire; (4) a 24 h dietary recall. Using the preferred meal-based approach, frequency of intake and portion size were recorded and linked to a nutrient database that we developed and modified from a set of existing international databases containing data on Indian foods and recipes. The NINA-DISH software was designed to be easily adaptable and was well accepted by the interviewers and participants in the field. A predominant three-meal eating pattern emerged; however, patterns in the number of foods reported and the primary contributors to macro- and micronutrient intakes differed by region and demographic factors. The newly developed NINA-DISH software provides a much-needed tool for measuring diet and nutrient profiles across the diverse populations of India with the potential for application in other South Asian populations living throughout the world.
authors.affiliation: Nutritional Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, 6120 Executive Boulevard, Suite 320, Rockville, MD 20852, USA.
authors.forename: Carrie R
authors.initials: CR
authors.lastname: Daniel
authors.affiliation: Steno Diabetes Center, Gentofte, Denmark.
authors.forename: Kavita
authors.initials: K
authors.lastname: Kapur
authors.affiliation: Information Management Services, Silver Spring, MD, USA.
authors.forename: Mary J
authors.initials: MJ
authors.lastname: McAdams
authors.affiliation: Westat, Rockville, MD, USA.
authors.forename: Sujata
authors.initials: S
authors.lastname: Dixit-Joshi
authors.affiliation: Centre for Chronic Disease Control, New Delhi, India.
authors.forename: Niveditha
authors.initials: N
authors.lastname: Devasenapathy
authors.affiliation: Healis Sekhsaria Institute for Public Health, Navi Mumbai, India.
authors.forename: Hemali
authors.initials: H
authors.lastname: Shetty
authors.affiliation: Atribs IT Consulting, Chennai, India.
authors.forename: Sriram
authors.initials: S
authors.lastname: Hariharan
authors.affiliation: Regional Cancer Center, Trivandrum, Kerala, India.
authors.forename: Preethi S
authors.initials: PS
authors.lastname: George
authors.affiliation: Regional Cancer Center, Trivandrum, Kerala, India.
authors.forename: Aleyamma
authors.initials: A
authors.lastname: Mathew
authors.affiliation: Nutritional Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, 6120 Executive Boulevard, Suite 320, Rockville, MD 20852, USA.
authors.forename: Rashmi
authors.initials: R
authors.lastname: Sinha
mesh_terms: D016208:Databases, Factual; D004032:Diet / Q000208:ethnology*; D002149:Energy Intake; D006801:Humans; D007194:India; D007407:Interviews as Topic; D062407:Meals / Q000208:ethnology*; D011939:Mental Recall; D018977:Micronutrients / Q000008:administration & dosage; D015596:Nutrition Assessment; D064787:Portion Size; D012984:Software; D011795:Surveys and Questionnaires
chemical_list: D018977:Micronutrients